I have been on HRT for twenty years now. My doctor, who has recently retired, understood that I couldn't manage without it. I was off it for 6 months 4 years ago and during that time I had heart symptoms when trying to exercise. I am supposed to go for walks to keep my blood pressure down but I can't walk more than a few yards when not on HRT. I was referred to cardiology but they couldn't find anything wrong, so my doctor suggested putting me back on HRT. The symptoms soon disappeared and I was able to exercise again. Since my doctor retired my new doctor wants to take me off the HRT because of the risk of breast cancer as I have been on it for 20 years. I say I would rather take the risk as I really can't function without it. He actually suggested taking SSRIs instead! He must think it's psychological! He said, "You'll want to go for walks if you're on SSRIs. I thought, I might want to, but I won't be able to without the HRT. They do say, the biggest risk to health is inactivity, and the HRT enables me to be active. Without it I am an invalid. Anyway, he has asked me to take a lower dose for six weeks and then get my blood tested for hormones to see what the levels are. I know that a lower dose isn't enough for me. I have tried it before and felt completely drained all the time. I could hardly cook and we lived on ready meals, which isn't healthy. I am worried that whatever the level of my hormones is, he will say it is enough because he doesn't want to give me HRT. Does anyone else have heart symptoms when not on HRT? I have read that they have recently discovered with a new type of scanner that if a woman has heart symptoms after the menopause it is because there is less blood getting to the heart. Oestrogen relaxes the blood vessels and more blood can get through.